Strengthening the Workforce Steve Wehn, Vice President Government & Community Relations May 2017 The Innovator in Healthcare Workforce Solutions and Staffing Services
AMN Healthcare The Innovator in Healthcare Workforce Solutions and Staffing Services Strategy + Staffing + Optimization = AMN Staffing Workforce Solutions • Nurses • Managed Services Program • Physicians • Recruitment Process Optimization • Allied • Vendor Management Systems • Medical Coding Executive Leadership Advisory Services • Permanent Leaders • Predictive Analytics • Interim Leaders • Workforce Optimization • System Implementations Key Stats Founded in 1985 – HQ San Diego NYSE: AMN – $2B 2,800 Team Members 700+ Recruiters 6,000 Clients Nationwide 2
Diverse Client Base As the market leader, AMN services healthcare facilities in all 50 states including many blue chip healthcare systems “AMN knows the national landscape. They know what’s out there and what the trends are. They bring that valuable information to us so that we can better plan as partners.” - Chief Nursing Officer, Large Integrated Health System & AMN MSP Client 3
Healthcare Staffing Market Overview U.S. Temporary Healthcare Staffing Demand Drivers ($ in billions) $18.00 • Stable or improving economy $15.5 $16.00 $14.6 • Low unemployment $13.0 $14.00 $12.00 $10.9 • Shortage of clinician & physicians $10.2 $10.00 • Increased healthcare utilization $8.00 • Adoption of outsourced solutions $6.00 $4.00 • Aging population & medical advances $2.00 • New emerging clinical roles $0.00 Other Addressable Markets: Approximately $5 Billion (Perm, RPO, Coding, Workforce Consulting, VMS) 4 Source: US Healthcare Staffing Forecast, Staffing Industry Analysts, December 2016. Internal estimates
Healthcare Job Openings and Hires 50% of healthcare job openings are currently unfilled 1200 1000 800 600 400 200 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Openings Hires Seasonally adjusted, full-year average as of December 31, 2016. Numbers in thousands. Source: Job Openings and Labor Turnover Survey, Bureau of Labor Statistics, U.S. Department of Labor 5
Growth in Healthcare Employment ~4 Million More 2014: 14 million Healthcare Jobs Healthcare occupations will add more jobs than any 2024: 18 million other group of occupations. 30% 34% 35% 16% 14% Fast Growing Healthcare Jobs Physician Physical Nurse Registered Physicians Assistants Therapists Practitioners Nurses Source: Bureau of Labor Statistics – Employment Projections, 2014 - 2024. 6
Drivers of Healthcare Employment Growth Annual Growth in Healthcare Spend Aging Population and Healthcare Utilization U.S. population aged 65+ in millions 72 • Over 65 - 3x more 6.0% hospital days 5.6% 40 • Over 75 - 4x more healthcare days 3.6% 2010 2015 2020 2025 2030 2014 2015 2016–2023 Source: U.S. Department of Health and Human Services Aging Healthcare Professionals Projected Healthcare Labor Shortage in 2025 ~ 50% of RNs and physicians are age 50+ 62% of RNs age 54+ plan to retire in next 3 years 94,700 Regional & specialty ~38% of active physicians are age 56 & older nurse shortages physician shortage Source: National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers – 2013 data and Association of American Medical Colleges April 5, 2016. AMN Healthcare survey, November 2015. AMA Physician Master File and 2012 Physicians Foundation Survey conducted by Merritt Hawkins – 2012 data. National Health Expenditure Projections – CMS, October 2014. Source: AMN Healthcare 2013 Clinical Workforce Survey of Hospital Leaders; (Association of American Medical Colleges, April 5, 2016); Future of the Nursing Workforce, Health Resources and Services Administration, December 2014. 7
Interstate Medical Licensure Compact – What is it? • A new “expedited” pathway to state licensure for experienced physicians who have outstanding practice histories. • An agreement between 18 states and the MD/DO Boards in those states to expedite licensure • Physicians can qualify to practice medicine across state lines within the Compact if they meet the agreed upon eligibility requirements. • The Application process is expedited by leveraging the physicians existing information previously submitted in their state of principal license (SPL). • Once qualified, the Physician may select any number of Compact states for which they desire to practice. 8 Confidential Intellectual Property of AMN Healthcare
Nurse Licensure Compact – What is it? • Launched in 2000, The Nurse Licensure Compact (NLC) expands the mobility of nurses as part of our nation's health care delivery system. • NLC allows nurses to have one multistate license, with the ability to practice in both their home state and other compact states. • Currently, 25 states have enacted the NLC legislation. • In 2015, an enhanced NLC was developed, which lets nurses provide telehealth nursing services or respond to emergencies in fellow compact states without an additional license. • South Dakota became the first state to pass the Enhanced NLC in 2016. Nine additional states have followed • The enhanced compact will come into effect when 26 states pass it or on December 31, 2018. 9 Confidential Intellectual Property of AMN Healthcare
Strengthening the Healthcare Workforce – What is Needed? Recognition in Congress and the Administration the Healthcare Workforce Shortage Full Scope of Practice of Practitioners Support Expansion of State Licensure Compacts Telehealth Advancements Federal Funding for Scholarships & Grants 10 Confidential Intellectual Property of AMN Healthcare
AMN Healthcare, Inc. 1240 High Bluff Drive Phone: (858) 350-3240 Thank You! San Diego, CA 92130 Email: steve.wehn@amnhealthcare.com
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